LCSW Exam: Therapist Development Center ||Verified
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All of the following statements describe defense
mechanisms EXCEPT:
A. Conscious behavior used by the client to protect the
client from the influence of the therapist.
B. Justifying actions or thoughts to make them seem
acceptable when unconsciously they are not.
C. Rejecting or attributing unacceptable aspects of one's
personality to another individual.
D. The process of protecting oneself from anxiety, feelings
of guilt, or undesirable thoughts. - Answer-The best
answer here would be A. If we look at the definition
provided above we notice that B, C, and D all incorporate
various aspects of defense mechanisms. On the other
hand, A is discussing conscious behaviors or thoughts,
whereas defense mechanisms are on a more unconscious
level. That is why as clinicians we need to help client's
identify the various defense mechanisms they may use
and bring them to a conscious level.
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A social worker has been meeting with a 28-year-old
woman for the past six months to work on issues of
depression and suicidal ideation. The social worker
observes that on days that she meets with this client, later
in the day she spends a lot of time thinking about death
and her mood is lower. What should the social worker do
FIRST?
A. Use her emotional reaction to explore how the client's
suicidal ideation may be impacting those around her.
B. Seek supervision.
C. Begin meeting with an individ - Answer-The correct
answer is B, to seek supervision. A is inappropriate
because we should not be using countertransference
(which is about our emotional reactions as the therapist) in
therapy. Although it is possible that the therapist may
begin their own therapy (C) at some point, this isn't the
FIRST thing we would do. Individual therapy is something
that could be discussed in supervision as one way to
manage the therapist's countertransference. D is
premature, as the therapist and client have been meeting
for 6 months and have an established relationship. At this
point, there is no need to refer out.
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A social worker has been meeting with a 28-year-old
woman for the past six months to work on issues of
depression and suicidal ideation. The social worker
observes that on days that she meets with this client, later
in the day she spends a lot of time thinking about death
and experiences a lower mood. What is this an example
of?
A. Poor Boundaries.
B. Transference.
C. Countertransference.
D. Trauma Response. - Answer-The correct answer is C,
countertransference. The therapist is having an emotional
reaction to what the client is sharing.
A group for women experiencing depression has been
meeting for 3 weeks. Several group members approach
the group leader expressing concern that another group
member regularly interrupts and dominates the
conversation. What stage of group formation is the group
most likely in?
A. Forming
B. Storming
C. Norming
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D. Performing - Answer-The correct answer is B:
Storming. During this stage it is common for subgroups to
emerge, like the one approaching the leader.
A social worker has been meeting with a client for two
years who is about to graduate from college and move
back to her home state. The client wishes to continue
therapy with the social worker via teletherapy. The social
worker is only licensed in the state the social worker
resides. What is the FIRST thing the social worker should
do?
A. Decline to provide teletherapy because it is illegal to do
so across state lines.
B. Determine whether the social worker's state board
allows teletherapy acros - Answer-The correct answer is
B: to determine whether the social worker's state board
allows teletherapy across state lines. If they do, then we
could do C after this (if the social worker's state board
does not allow this, then there would be no need to do C,
which is why we would do B first). A is incorrect because
that is not a true statement as some states do allow this. D
is similarly incorrect because it does not acknowledge the
fact that some states do not allow teletherapy across state
lines. (Even if there is a longstanding relationship).